Organization
KEN THOM COUNSELING INC
Active
Parent organization
INTERNATIONAL CONGRESS OF CHURCHES AND MINISTRIES
Other names
Kenneth Thom
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERNATIONAL CONGRESS OF CHURCHES AND MINISTRIES
Authorized official
MR. KENNETH T THOM LPC (PRESIDENT)
(660) 562-2531
Entity
Organization
Contact information
Practice address
515 W COOPER, MARYVILLE, MO 64468-2417
(660) 562-2531
(660) 562-3239
Mailing address
515 W COOPER, MARYVILLE, MO 64468-2417
(660) 562-2531
(660) 562-3239
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002237
MO
101YP2500X
Professional Counselor
002237
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001042101
COMMUNITY HEALTH PLAN PRO
MO
01
—
11633708
CAHQ
MO
01
—
1912982893
NPI - PERSONAL PROVIDER
MO
01
—
24206013
BCBS PROVIDER
MO
05
—
498635705
—
MO
Enumeration date
02/15/2007
Last updated
06/25/2008
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